Individual
DR. MATTHEW JORDAN BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
110D VILLAGE RD NE, LELAND, NC 28451-7412
(910) 371-1000
(910) 371-1500
Mailing address
110D VILLAGE RD NE, LELAND, NC 28451-7412
(910) 371-1000
(910) 371-1500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3742
NC
111N00000X
Chiropractor
DC27312
CA
Other
Enumeration date
02/07/2007
Last updated
10/10/2007
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